FORM 1023-EZ for CAVALIER SOCCER CLUB

Field Data
EIN 47-1807754
Case Number EO-2016012-000770
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAVALIER SOCCER CLUB
Organization’s Mailing Address 916 MAIN STREET
City LYNCHBURG
State VA
ZIP 24504
Accounting period End 8
Primary contact name NATHAN HILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATHAN HILTON
TREASURER
PO BOX 2
LYNCHBURG VA

Officer/Director/Trustee Two

SHIRLEY LEE
PRESIDENT
1184 BANISTER PLACE
FOREST VA 24551

Officer/Director/Trustee Three

CLEY BULLOCK
VICE PRESIDENT
111 MARBURY ROAD
FOREST VA 24551

Officer/Director/Trustee Four

CHARLEY BUTCHER
SECRETARY
1220 MCKNIGHTS WAY
FOREST VA 24551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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